Functional outcome of distal tibial fractures treated by stainless steel locking plates with minimally invasive plate Osteosynthesis in rural population: A prospective study

Background: Management of fractures of the distal tibia remains a challenging proposition due to the fact that the major part of the bone is in a subcutaneous location and the blood supply is quite precarious. Conventional forms of osteosynthesis are associated with high rates of infection and nonunion. Due to extensive soft tissue stripping, the vascularity is compromised and often results in poor wound healing and tends to compromise fracture healing as well. Closed reduction with minimally invasive plate osteosynthesis (MIPO) addresses these issues and has emerged as a viable treatment option with minimal complications. The aim of this study was to assess the functional outcome MIPO using locking compression plates (LCP).Methods: 32 patients with distal tibial fractures treated by MIPO technique with LCP fixation were studied from January 2012 to January 2014 and were followed up for a period of 2 years.Results: All the fractures in our series united well at the end of 6 months with mean time to radiological evidence of callus formation at 10 weeks and the mean time to fracture union was 20 weeks. There were 2 cases with varus angulation in our series and no cases with implant failure. There were 3 patients with superficial skin infections and no cases of deep infection.Conclusions: We conclude that MIPO with LCP is an effective treatment option for distal tibial fractures avoiding all the complications associated with other forms of internal fixation. We strongly recommend its usage in these types of complex injuries.

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Functional outcome of distal tibia fracture treated with locking compression plate using minimally invasive percutaneous plate osteosynthesis technique (MIPPO): A prospective study

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2019.v5.i4q.1805 ◽

2019 ◽

Vol 5 (4) ◽

pp. 980-984

Author(s):

Dr. Vikas Illur ◽

Dr. Ravindra Shivgonda Patil ◽

Dr. Jigar Shah ◽

Dr. Naresh Chaudhary ◽

Dr. Vijaysinh Bhosale

Keyword(s):

Minimally Invasive ◽

Prospective Study ◽

Functional Outcome ◽

Plate Osteosynthesis ◽

Distal Tibia ◽

Locking Compression Plate ◽

Distal Tibia Fracture ◽

Compression Plate ◽

A Prospective Study ◽

Osteosynthesis Technique

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Evaluation of functional outcome of distal tibial fractures stabilized with distal tibial locking plate

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20205022 ◽

2020 ◽

Vol 7 (1) ◽

pp. 39

Author(s):

Naveen Kumar ◽

Manoj Thakur ◽

Sandeep Kashyap

Keyword(s):

Minimally Invasive ◽

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

Plate Osteosynthesis ◽

Open Reduction Internal Fixation ◽

Tibial Fractures ◽

P Value ◽

Minimally Invasive Plate Osteosynthesis ◽

Distal Tibial Fractures

Background: The present study is an attempt to evaluate the results of locking compression plate for distal tibia in lower tibial fractures using open reduction internal fixation and minimally invasive plate osteosynthesis technique.Methods: Prospective and retrospective study was conduct on patients attending the outpatient department (OPD)/Emergency OPD in Indira Gandhi Medical College, Shimla during September 2015 to August 2016 with distal tibial fractures. The patients treated with locking compression plates using minimally invasive plate osteosynthesis (MIPO) or open reduction internal fixation (ORIF) are reviewed for inclusion and exclusion criteria. All data were collected and analyzed by Epi-info software.Results: Out of 52 patients, 48.4% patients undergo open reduction internal fixation had excellent results and 28.6% patients undergo surgery by MIPPO technique had excellent results. p value is 0.352 which is not significant. Overall, 40.4% patients had excellent results. In our study, 32.6% patients having AO/OTA type A fractures had excellent score while type B and C had 1.9% excellent score. This is attributed to more comminution and involvement of ankle joint. Overall, 40.4% patients had excellent score. P value is 0.863 which is insignificant.Conclusions: We observed excellent/ good functional outcome in 65.3% of patients.

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